NPI registry status
Active
2026 NPPES data Adult Health Nurse Practitioner NPI 1699362020 NP
Verify on CMS → Michael Babinski, NP
Adult Health Nurse Practitioner in Highland, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,811 in Adult Health Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 356 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$638.31
30 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Michael Babinski, NP filed 1,545 Medicare Part D claims in 2024 as an Adult Health Nurse Practitioner in Highland, Illinois, prescribing 87% generic.
- 2K
- Part D claims, 2024
- 87%
- generic prescribing
- $638.31
- industry payments (Sunshine Act)
- ≥81st
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Michael Babinski, NP
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1699362020), first enumerated 12/31/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,545 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$638.31 in reported industry payments (30 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Michael Babinski, NP's individual license status. Verify directly with the state medical board.
Source: IDFPR annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1699362020 · Adult Health Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MID · RX-MID · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1699362020
- ENUM-RECENT 2020
- TAX-MID 30K Adult Health
- RX-MID 1,545
- BOOK-LIGHT 766 in Illinois
- PHOTO-ENUM Lorelie Day · 2020
Michael Babinski, NP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,545 ≥ 81st percentile 81% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Michael Babinski, NP?
Quality data not reportedPrimary specialty
Adult Health Nurse Practitioner
Medicare Part D claims
1,545 20% vs specialty avg
Specialty distribution in Illinois
How Adult Health Nurse Practitioner compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Adult Health Nurse Practitioner. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1699362020 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | NP |
| Gender | Male |
| NPI Issued | 12/31/2020 |
Hospital and facility affiliations
Facilities where Michael Babinski, NP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Apg Network, LLC
Edwardsville, IL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Michael Babinski, NP. Source: openpaymentsdata.cms.gov.
Total received
$638
Largest payer
Phathom Pharmaceuticals, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Illinois IDFPR 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Michael Babinski, NP. To verify Michael Babinski, NP's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Michael Babinski, NP - brand share 13.0%
Adult Health Nurse Practitioner average
13% brand-name claims vs 87% generic, on 1,545 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,545
Total Claims
$157K
Total Drug Cost
356
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,708.233
- Total Day Supply
- 75,517
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $113K
- Generic Drug Cost
- $43K
- Opioid Claims
- 69 (4.5% rate)
- Antibiotic Claims
- 94
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.51
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 67, 65-74: 162, 75-84: 89, 85+: 38
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Michael Babinski, NP prescribes most
Top Medicare Part D drugs by claim count, 2024
- Amlodipine Besylate
Amlodipine Besylate
58 claims
- Atorvastatin Calcium
Atorvastatin Calcium
56 claims
- Lisinopril
Lisinopril
48 claims
- Gabapentin
Gabapentin
41 claims
- Methylprednisolone
Methylprednisolone
39 claims
- Tramadol Hcl
Tramadol Hcl
38 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
34 claims
- Omeprazole
Omeprazole
34 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 58 |
| Atorvastatin Calcium | 56 |
| Lisinopril | 48 |
| Gabapentin | 41 |
| Methylprednisolone | 39 |
| Tramadol Hcl | 38 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 34 |
| Omeprazole | 34 |
| Famotidine | 33 |
| Losartan Potassium | 33 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Nurse Practitioner Overview
How Michael Babinski, NP fits within the Adult Health Nurse Practitioner landscape nationally.
29,811
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,291
Avg Claims per Provider
Michael Babinski, NP's 1,545 claims are above the specialty average of 1,291.
Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Babinski, both outside Illinois so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Health Nurse Practitioner Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Babinski.
One of 766 Adult Health Nurse Practitioner providers enrolled in Illinois, 5 are shown here.
Gloria Abenes
NP
Mount Vernon, IL
Annamma Abraham
NP
Elmhurst, IL
Sara Acosta
FNP-C
Long Grove, IL
Sara Adams
ANP
Chicago, IL
Cathy Adamson
N.P.
Elmhurst, IL
Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Michael Babinski, NP's specialty? ▼
Michael Babinski, NP specializes in Adult Health Nurse Practitioner and practices in Highland, Illinois. Credentials: NP.
How much does Michael Babinski, NP prescribe under Medicare Part D? ▼
In 2024, Michael Babinski, NP wrote 1,545 Medicare Part D claims totaling $157K in drug costs for 356 beneficiaries.
Where is Michael Babinski, NP located? ▼
Michael Babinski, NP is located at 12860 TROXLER AVE, Highland, IL, 62249. Phone: (618) 651-2810.
What is Michael Babinski, NP's NPI number? ▼
Michael Babinski, NP's National Provider Identifier (NPI) is 1699362020, issued on 12/31/2020.
Does Michael Babinski, NP prescribe more brand-name or generic drugs? ▼
Michael Babinski, NP's prescribing is 13% brand-name and 87% generic drugs by claim count, with $113K in brand drug costs.
Does Michael Babinski, NP prescribe opioids? ▼
Yes, Michael Babinski, NP had 69 opioid claims in 2024 with an opioid prescribing rate of 4.5%.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,811 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,291 Medicare Part D claims per year.
What drugs does Michael Babinski, NP prescribe most often? ▼
Based on 2024 Medicare Part D data, Michael Babinski, NP's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Babinski, NP accept Medicare? ▼
Michael Babinski, NP appears in CMS Medicare data with 1,545 Part D claims and 356 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Babinski, NP's credentials? ▼
Michael Babinski, NP's NPI is 1699362020 with credentials NP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.